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Organization
FRED P DINITZ DDS INC
Active
Organization
FRED P DINITZ DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED P DINITZ DDS (OWNER)
(916) 683-4333
Entity
Organization
Contact information
Practice address
8101 LAGUNA BLVD, #1, ELK GROVE, CA 95758
(916) 683-4333
(916) 691-4339
Mailing address
8101 LAGUNA BLVD, #1, ELK GROVE, CA 95758
(916) 683-4333
(916) 691-4339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0023095
CA
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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